| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,112 |
2,821 |
$210K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,640 |
1,546 |
$153K |
| 99442 |
|
543 |
487 |
$34K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
183 |
182 |
$24K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
238 |
237 |
$24K |
| 99385 |
|
224 |
224 |
$22K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
226 |
226 |
$20K |
| 94010 |
|
533 |
522 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
196 |
154 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
87 |
87 |
$7K |
| 93000 |
|
554 |
552 |
$7K |
| 90756 |
|
201 |
200 |
$6K |
| 20200 |
|
45 |
45 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
425 |
409 |
$4K |
| 99386 |
|
12 |
12 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
3,655 |
3,519 |
$1K |
| 99443 |
|
12 |
12 |
$971.24 |
| 99051 |
|
171 |
167 |
$457.50 |
| 78268 |
|
12 |
12 |
$177.42 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
13 |
$103.18 |
| 99000 |
|
1,946 |
1,861 |
$0.00 |